HomeMy WebLinkAboutR 2020-165 AMS - Burke Design Group Central Recreation HVAC DocuSign Envelope ID: EA4A52EC-DFE4-44E3-82C4-14BAEDEA198D
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Burke Design Group, PA Party/Vendor Contact Person: Ben Burke (ben(abdg-nc.com)
Contact Phone: 919.771.1916 Party/Vendor Address: 3305-109 Durham Rd. City Raleigh State: NC Zip: 27603
Department: AMS Amount: $16,000.00($15,000 for Design per proposal,$1000 Reimbursables) Purpose: Central
Recreation Facility HVAC Design Services Budget Code(s): 61370035-870000-30018 Vendor# 60926 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑
Amendment ❑ Effective Date 3/2/2020 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
Department Director's Signature[ 3/z/zozo
�w t Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed: N/A
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Office 1 5,, bn1t f° Date: 3/2/2020
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
P[ Act: o�sa
Office of the Chief Financial Officer Date:3/3/2020
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney[?? H +�'qu Date:3/3/2020
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 11/19
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